Advisor, Physician

ArchWell Health’s Physician Advisor will be an integral part of the central services team. The Physician Advisor is responsible for advising and educating all clinical aspects of Medicare Advantage care to providers across all ArchWell Health markets. This role with interface with the Clinical Documentation (CDI) RN team, Learning and Development, Market Medical Directors, Clinical Applications, Quality, Pharmacy, Compliance and operational teams. The Physician Advisor will be the subject matter expert on clinical documentation that improved value-based care over multiple markets and states in an outpatient senior-focused primary care setting.

Roles and Responsibilities

• Update ArchWell Health’s onboarding and training materials to changes in ICD-10 and yearly CMS final notices of methodological changes for Medicare Advantage.
• Develop and maintain a documentation education schedule for all providers at ArchWell Health.
• Partner with the Clinical Application team to improve electronic documentation of member encounters.
• Analyze disease prevalence trends, suspect diagnosis assessments gaps, and redocumentation rates and report to Executive Leadership Team.
• Design educational plans based on gap analysis.
• Partner with data teams to develop and refine clinical dashboards.
• Provide live introductory training in clinical documentation to all new providers and CDI RNs.
• Provide training to market providers on a monthly cadence as needed.
• Coaching individual providers as needed.
• Attend health plan JOCs as needed.
• Support the CDI RN team regarding clinical diagnosis criteria and disease process recognition.
• Serve as expert resource to coders and providers on clinical documentation.
• Develop and deploy programs that drive quality improvement in documentation integrity a compliance.
• Work with Vendor-partners on supplemental education programs.
• Additional responsibilities and duties as requested and deemed necessary by the executive team and Chief Clinical Officer.

Required Skills/Abilities

• Experience with Electronic Medical Records.
• Proficient with Microsoft Office Suite products including Word, Excel, Power Point, and Outlook, and Teams.
• Ability and willingness to travel to visit centers to provide in-person trainings, no more than 25%.
• Excellent presentation, verbal, and written communication skills.
• Ability to exercise the use of independent judgement.
• Sensitivity to the diverse needs of culturally diverse staff, patients, and communities.
• Experience in the development of internal dashboards.

Minimum Qualifications

• MD, DO, MSN, DNP, or MPAS degree required.
• Minimum of 3 years’ experience with Medicare Risk Adjustment documentation and coding.
• Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) preferred.
• Embodies and serves as a role model of ArchWell Health’s Values:
• • Be compassionate
  • Strive for excellence
  • Earn trust
  • Show respect
  • Stay resilient
  • Always do the right thing.